Jean Pierre Buchillon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005903 Issued in FL

Practice address

10300 SW 216TH St
Cutler Bay, FL 33190-1003

Phone

(305) 253-5100

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health of South Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naranja, FL
  • NPI 1023271855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1194325167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 CONDADO RD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892343",
            "telephone_number": "305-609-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHILLON",
        "first_name": "JEAN",
        "middle_name": "PIERRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "11005903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kala Markeena Brown, MSW, LCSW
• Nevita Mia Brown
• Earl A Brundage, DPT
• Rose Bernard Brutus Butler, APRN, PHMNP-BC
• BS & F Group Corp (Chef Brian Catering)
• Deopaul Budraj, PHARMD
• Dawn Anntoinette Buford, M.S. OTR/L
• Buides Therapy Corp
• Building Steps Therapy LLC
• Angela Burbano

• Family Nurse Practitioner in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.